Active NPI
Meghann Reynolds Ray, PA-C
- Physician Assistant
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10002829A
- Practice address
- 1401 Professional Blvd
Evansville, IN 47714-8014 - Phone
- (812) 473-2060
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001003167 | NC | |
| Physician Assistant | 363A00000X | PA00135 | MS | |
| Physician Assistant | 363A00000X | 10002829A | IN | Primary |
| Physician Assistant | 363A00000X | PA3173 | KY |
Addresses
Primary practice location
1401 Professional Blvd
Evansville, IN 47714-8014
Mailing address
1401 Professional Blvd
Evansville, IN 47714-8014
Phone (812) 473-2060
Other practice location 1
1020 Professional Blvd
Evansville, IN 47714-8009
Phone (812) 473-2060
Other practice location 2
800 N Elm St
Henderson, KY 42420-2709
Phone (270) 827-2312
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9657842 | Other | AENTA | |
| 1683J | Other | NC | BCBSNC |
| 300072217 | Medicaid | IN | |
| 8102481 | Medicaid | NC | |
| P01223903 | Other | NC | MEDICARE-RAILROAD |
| 1341PA | Medicaid | SC | |
| 7100886350 | Medicaid | KY | |
| 834026 | Other | SC | WELLCARE OF SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 N Elm St
Suite 110
Henderson, KY 42420-2783
Phone (270) 827-2312
1401 Professional Blvd
Evansville, IN 47714-8014
Phone 8124732060219
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00135 | MS | MD | Physician Assistant |
| 001003167 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Eye Ear Nose & Throat Associates, P.a. | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- mray@midwestent.emadirect.md
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Charlotte, NC
- NPI 1043287469
Physician Assistant
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1801107834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148014",
"telephone_number": "812-473-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148014",
"telephone_number": "812-473-2060"
}
],
"practiceLocations": [
{
"address_1": "1020 Professional Blvd",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477148009",
"country_code": "US",
"telephone_number": "812-473-2060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 N Elm St",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "KY",
"postal_code": "424202709",
"country_code": "US",
"telephone_number": "270-827-2312",
"fax_number": "270-827-0057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "MEGHANN",
"middle_name": "REYNOLDS",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001003167",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MS",
"license": "PA00135",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10002829A",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA3173",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA",
"identifier": "9657842",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "1683J",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300072217",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8102481",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-RAILROAD",
"identifier": "P01223903",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1341PA",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100886350",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF SC",
"identifier": "834026",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.